Chapter 53 Quiz

A  ureteral stones.

B  pyelonephritis.

C  cystitis.

D  Urethral infection.

A  Tenderness over the kidneys

B  A dull sound when percussing over the bladder

C  Bruits noted over the abdominal area

D  The ingestion of 8 oz of water

A  bladder

B  kidney

C  urethra

D  ureter

A  Mucosal

B  Adventitia

C  Detrusor

D  Connective tissue

A  It is normal for my urine to be blood-tinged.”

B  I can resume my usual activities without restriction.”

C  If I have difficulty urinating, I should contact my physician.”

D  I should increase my fluid intake for the rest of the day.”

A  Cortisol

B  Vasopressin

C  Renin

D  Albumin

A  Keep the patient on bed rest for 72 hours.

B  Check the patient’s urine for hematuria.

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Place a bed board under the mattress to add support

A  Increased glomerular filtration rate

B  Susceptibility to develop hypernatremia

C  Acid-base balance

D  Increased blood flow to the kidney

A  Metronidazole

B  Phenytoin

C  phenazopyridine hydrochloride

D  Infection

A  Dullness

B  Resonance

C  Tympany

D  Flatness

A  Nephron

B  Glomerulus

C  Renal pelvis

D  Parenchyma

A  Do you have a pacemaker?”

B  Who has come with you today?”

C  “Do you have any allergies?”

D  Have you any artificial joints?”

A  Antidiuretic hormone

B  Prostaglandins

C  Growth hormone

D  Aldosterone

A  10:01

B  3:01

C  4:01

D  6:01

A  palpate the client’s bladder before and after voiding.

B  assess the client’s usual intake of sodium.

C  confirm which beverages the client normally consumes.

D  confirm all of the medications and supplements normally taken.

A  Blood urea nitrogen (BUN)

B  BUN to creatinine ratio

C  Creatinine clearance level

D  Uric acid level

A  Do you urinate while sleeping?”

B  Do you have a strong desire to void?”

C  Is it painful when you urinate?”

D  Does it burn when you urinate?”

A  Neurogenic bladder

B  Proteinuria

C  Kidney stone formation

D  Chronic kidney disease

A  “Do you take multiple vitamin preparations?”

B  Have you had a recent urinary tract infection?”

C  Do you take phenytoin daily?”

D  Have you noticed any vaginal bleeding?”

A  “I have not eaten since 8 pm last night.”

B  I brought a copy of my living will with me.”

C  “I took my usual dose of Coumadin last night.”

D  “I signed the consent form in the physician’s office.”

A  Increased glomerular filtration rate

B  Increased blood flow to the kidneys

C  Acid-base balance

D  More prone to develop hypernatremia

A  Creatinine clearance

B  Therapeutic index

C  GI absorption rate

D  Liver function studies

A  With the first specimen voided after 8:00 am

B  After discarding the 8:00 am specimen

C  At 8:00 am, with or without a specimen

D  6 hours after the urine is discarded

A  Uric acid level

B  Creatinine clearance level

C  Serum potassium level

D  Blood urea nitrogen level

A  Diabetes insipidus

B  Increased fluid intake

C  Glomerulonephritis

D  Decreased fluid intake

A  Osmolality

B  Blood urea nitrogen

C  Creatinine

D  Hemoglobin

A  The costovertebral angle

B  Around the umbilicus

C  The upper abdominal quadrants on the left and right side

D  Above the symphysis pubis

A  Chronic renal failure

B  Neurogenic bladder

C  Kidney stones

D  Fistula

A  creatinine

B  glucose

C  chloride

D  potassium

A  Fluid deficits

B  Severe renal damage

C  Diabetes insipidus

D  Diabetes

E  Glomerulonephritis

A  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

B  “I had my last cigarette 3 hours ago with my morning coffee.”

C  I took my blood pressure medication with my morning coffee an hour ago.”

D  “I did not take my multivitamin this morning.”

A  Perineal pain

B  Costovertebal angle tenderness

C  Suprapubic pain

D  Pain after voiding

A  When the urine output is less than 30 mL/h

B  When the urine output is about 100 mL/h

C  When the urine output is between 300 and 500 mL/h

D  When the urine output is between 500 and 1,000 mL/h

A  Volume of urine output

B  Circulating ADH concentration

C  Creatinine clearance

D  Urine-specific gravity

A  carefully handle urine because it is radioactive.

B  maintain bed rest for 2 hours.

C  drink liberal amounts of fluids.

D  notify the health care team if bloody urine is noted.

A  Dysuria

B  Polyuria

C  Nocturia

A  Increased serum creatinine

B  Decreased blood urea nitrogen (BUN)

C  Decreased potassium

D  Increased serum albumin

A  dysuria.

B  nocturia.

C  anuria.

D  oliguria.

A  Assess peripheral pulses in the left leg.

B  Exercise the leg and foot.

C  Place cool compresses on the calf.

D  Assess for anaphylaxis.

A  Increased alertness

B  Hypoventilation

C  Unusually smooth skin

D  Pruritus

A  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

B  Check the patient’s urine for hematuria.

C  Place a bed board under the mattress to add support.

D  Keep the patient on bed rest for 72 hours.

A  decreased in nephrotic syndrome.

B  unchanged in renal disease.

C  decreased in renal disease and urinary obstruction.

D  increased in renal disease and urinary obstruction.

A  Congestive heart failure

B  Urinary incontinence

C  Stroke

D  Myocardial infarction

A  Aldosterone

B  Calcitonin

C  Antidiuretic hormone (ADH)

D  Renin

A  Regulation of blood pressure

B  Vitamin B production

C  Secretion of prostaglandins

D  Secretion of insulin

E  Vitamin D synthesis

A  “A contrast medium will be used to help see the structures better.”

B  An x-ray will be done to view your kidneys, ureters, and bladder.”

C  You’ll have a pressure dressing on your groin after the test.”

D  “You don’t need to do any fasting before this noninvasive test.”

A  Secretion of enzymes

B  Control of water balance

C  Synthesis of vitamin K

D  Regulation of white blood cell production

A  Assess the client’s mental changes.

B  Monitor the client for an allergy to iodine contrast material.

C  Evaluate the client for periorbital edema.

D  Monitor the client for signs of electrolyte and water imbalance.

A  The client voids 75 cc four hours post cystoscopy.

B  The client has blood-tinged urine following brush biopsy.

C  The client reports a pain rating of 3 two hours post-kidney biopsy.

D  The client consumes 75% of lunch following an intravenous pyelogram

A  Calcium

B  Phosphorous

C  Potassium

D  Sodium

A  Have you had a recent urinary tract infection?”

B  “Do you take phenytoin daily?”

C  Have you noticed any vaginal bleeding?”

D  “Do you take multiple vitamin preparations?”

A  Enuresis

B  Anuria

C  Dysuria

D  Hematuria

A  Radiography

B  Bladder ultrasonography

C  Cystoscopy

D  Computed tomography with contrast

A  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

B  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

C  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

D  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

A  Distract the client’s attention from the pain.

B  Assess the patient’s back and shoulder areas for signs of internal bleeding.

C  Enable the client to sit up and ambulate.

D  Provide analgesics to the client.

A  Acute renal failure

B  Infection

C  Obstruction of the lower urinary tract

D  Nephrotic syndrome

A  Angiography

B  Cystoscopy

C  Computed tomography (CT scan)

D  Radiography

A  “I should remove all jewelry before the test.”

B  “I will need to drink all of the dye as quickly as possible.”

C  “I will feel a warm sensation as the dye is injected.”

D  I should let the staff know if I feel claustrophobic.”

A  incorrect urine output values.

B  microorganism transfer.

C  prostate irritation.

D  client discomfort.

A  The kidneys are situated just above the adrenal glands.

B  The left kidney usually is slightly higher than the right one.

C  The kidneys lie between the 10th and 12th thoracic vertebrae.

D  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

A  With the first specimen voided after 8:00 am

B  After discarding the 8:00 am specimen

C  6 hours after the urine is discarded

D  At 8:00 am, with or without a specimen

A  Serum potassium level

B  Blood urea nitrogen level

C  Uric acid level

D  Creatinine clearance level

A  Urinary incontinence

B  Urinary stasis

C  Urinary frequency

D  Urinary urgency

A  Bruits noted over the abdominal area

B  Tenderness over the kidneys

C  The ingestion of 8 oz of water

D  A dull sound when percussing over the bladder

A  Allergic reaction

B  Dehydration

C  Bleeding

D  Infection